Local anesthesia : its scientific basis and practical use / by Heinrich Braun ; translated and edited by Percy Shields from the third revised German edition.

  • Braun, Heinrich, 1862-1934.
Date:
1914
Catalogue details

Licence: In copyright

Credit: Local anesthesia : its scientific basis and practical use / by Heinrich Braun ; translated and edited by Percy Shields from the third revised German edition. Source: Wellcome Collection.

    243/400 (page 247)
    suprarenin solution is^injected into the pterygopalatine fossa, and upon the with- drawal of the needle 5 c.c. of a 0.5 per cent. novocain-suprarenin solution is injected to the maxillary tubercle. From point 2 the median orbital injection is made \\ ith 2.5 c.c. of a 2 per eent. novocain-suprarenin solution (see page 21/) after which the soft parts are infiltrated, guided by a finger in the mouth, in a line from point 1 to the angle of the mouth, just as was done in the transverse Splitting of the cheek (page 238). From 15 to 20 c.c. of a 0.5 per cent. novocain-suprarenin solution is used. This injection excludes the lateral innervation from the third brauch of the trigem- inus, at the same time causing contraction of the end branches of the external Fig. 88.—Circuminjection for the radical Operation for empyema of the antrum of Highmore. 1, point of injection for the maxillary nerve; 2, point for median orbital injection. maxillary artery. From point 3, 10 to 15 c.c. of a 0.5 per cent. novocain-suprarenin solution is injected along the pyriform aperture under the alae of the nose and frenu- lum and in the midiine of the upper lip as far as the red margin. The latter can be more readily performed without another point for injection if the lip is raised and drawn toward the opposite side. The injection in the upper lip Controls the over- lapping nerves and arteries from the opposite side. The radical Operation cannot be carried out without pain or loss of blood, eitlier from without, according to the method of Friedrich, or from within the mouth after cutting the mucous membrane from the middle line to the attachment of the zygomatic process to the maxilla. For the simple opening of the antrum of Highmore from the canine fossa the same